SNF Medical Biller

American Medical Administrators LTC; Michigan; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Disability Insurance

Vision Insurance

Employee Assistance Program

401(k)

Life Insurance

Paid Time Off

Job summary

American Medical Administrators LTC is seeking a dedicated SNF Billing Specialist to manage timely insurance claim billing (Medicare/Medicaid/Managed Care) and ensure compliance with contracts and regulations.

You will work with PCC (PointClickCare) and Excel to maintain accurate patient data, resolve delinquencies, and support facility billing operations in a fast-paced healthcare environment.

Qualifications

• Billing experience with Medicare/Medicaid
• Experience with PCC (PointClickCare)
• Knowledge of Medicaid/Medicare/Managed Care processes
• Strong organizational and problem-solving skills

Responsibilities

• Bill insurance claims timely and accurately (Medicare/Medicaid/Managed Care).
• Ensure compliance with insurance contracts and federal regulations.
• Maintain PCC Billing Software documentation and processes.
• Collaborate with facility management to ensure smooth billing operations.
• Submit clean claims promptly to prevent delays and denials.
• Perform timely follow-up on submitted claims for payment and resolution.
• Review accounts receivable aging to support collections.
• Verify patient data and prepare billing according to guidelines.
• Investigate delinquent accounts and recommend actions.
• Contact third-party payers to facilitate timely payment of claims.
• Maintain documentation of all account activity and adjustments.
• Process refunds and monitor coverage dates for accuracy.
• Provide excellent customer service to patient inquiries.

Skills

Attention to detail

Organizational skills

Problem-solving

Collaboration across teams

Tools

PointClickCare (PCC)

Microsoft Excel

Job description

We are seeking individuals who are dependable, detail-oriented, and committed to supporting accurate financial operations within a fast-paced healthcare environment. Successful team members demonstrate strong work ethic, integrity, accuracy, and accountability in everything they do

We are currently seeking a SNF Billing Specialist.

Job Responsibilities and Duties:

• Responsible for the timely and accurate billing of all insurance claims, including Medicare, Medicaid, and Managed Care.

• Ensure compliance with all insurance contract requirements and federal billing regulations.

• Maintain accurate and complete documentation in PointClickCare (PCC) Billing Software.

• Collaborate with management personnel at each facility to ensure smooth billing operations and prompt resolution of issues.

• Submit clean claims promptly to prevent delays and denials.

• Perform timely follow-up on all submitted claims to ensure proper payment and account resolution.

• Review accounts receivable aging regularly to ensure due diligence in collections.

• Verify the accuracy of patient data and prepare billing according to applicable guidelines and regulations.

• Investigate delinquent accounts and recommend actions for outstanding balances.

• Contact third-party payers and organizations to facilitate timely payment of claims.

• Maintain organized documentation of all account activity, including patient inquiries, refunds, and payment adjustments.

• Process insurance or patient refunds, correct late charges, and monitor effective/exhaust dates for coverage.

• Provide excellent customer service in responding to patient account inquiries.

Requirements:

• Proficiency in Medicare and Medicaid billing regulations.

• Experience working with PointClickCare (PCC) healthcare software.

• Strong understanding of Medicaid, Medicare, and Managed Care processes.

• Working knowledge of billing, collection activities, and cost accounting.

• Proficiency in Microsoft Office Suite, particularly Excel.

• Experience with account reconciliations and financial accuracy.

• Excellent organizational and problem-solving skills.

• Strong attention to detail and ability to work collaboratively across teams.

Benefits:

• Health Insurance

• Dental Insurance

• Disability Insurance

• Vision Insurance

• Employee Assistance Program

• 401(k)

• Life Insurance

• Paid Time Off

Additional Benefits:

• Telemedicine:$0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.

• Unlimited Assistance:Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.

• Mayo Clinic Programs:Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.

These additional benefits are available to you without reducing your take-home pay!